Chapter 44: Loss, Grief, and
Dying questions fully solved &
updated 2025-2026(100%
accuracy)
When a client with end-stage renal failure states, "I am not ready to die,"
what is the appropriate nursing response?
"Have you talked with your spiritual leader about your fears?"
"This must be very difficult for you."
"Yes, this is a terrible diagnosis you've received."
"I'm sure you are angry and sad." - answer "This must be very difficult for
you."
The nurse should use statements with broad openings, such as "This must
be difficult for you," to allow the client to continue expressing concerns
and to acknowledge the client's feelings. This facilitates communication
and allows the client to choose the topic or manner of response during
this stage of the grieving process. Assuming the client is angry and sad or
indicating that this is "a terrible diagnosis" is not an appropriate way to
promote coping. The nurse should automatically assume a spiritual leader
is desired.
The hospice nurse is caring for a client who is dying. Which intervention(s)
should be included in the plan of care?
Select all that apply.
Offer normal amounts of food and fluids.
Cluster nursing activities.
Obtain the blood pressure frequently.
Routinely administer pain medications.
, Provide cool foods and fluids.
Place in a supine position when drooling occurs.
Gently massage the arms and legs. - answer Cluster nursing activities.
Provide cool foods and fluids.
Gently massage the arms and legs.
Routinely administer pain medications.
Dying clients may exhibit sleep disturbance due to several reasons such as
anxiety or environmental noise. To promote rest and sleep, the nurse
should cluster nursing activities. Due to slowed peristalsis, clients who are
dying may experience nausea and vomiting. Cool foods and fluids are
preferred to prevent nausea. Due to diminished circulation, clients who
are dying may feel cold. Gently massaging the arms and legs help promote
ciriculation and transfer heat from the nurse's hands to the client. To
prevent causing extreme discomfort, pain medications are administered
around the clock. As the client becomes less alert, the need for pain
medication continues.
Allowing the client to rest is one of the most essential components of end
of life care. Frequent, non-intrusive assessments may be performed.
The nurse is giving palliative care to a client with a diagnosis of COPD.
What is the goal of palliative care?
to improve the client's and family's quality of life
to support aggressive treatment for cure
to provide physical support for the client
The client may develop a separate plan with each discipline of the health
care team. - answer to improve the client's and family's quality of life
The goal of palliative care is to improve the client's and the family's
quality of life. The support should include the client's physical, emotional,
and spiritual well-being. Each discipline should contribute to a single care
plan that addresses the needs of the client and family. The goal of
palliative care is not aggressive support for curing the client. Providing
physical support for the client is also not the goal of palliative care. A
separate plan of care developed by the client with each discipline of the
health care team is not the goal of palliative care.
Dying questions fully solved &
updated 2025-2026(100%
accuracy)
When a client with end-stage renal failure states, "I am not ready to die,"
what is the appropriate nursing response?
"Have you talked with your spiritual leader about your fears?"
"This must be very difficult for you."
"Yes, this is a terrible diagnosis you've received."
"I'm sure you are angry and sad." - answer "This must be very difficult for
you."
The nurse should use statements with broad openings, such as "This must
be difficult for you," to allow the client to continue expressing concerns
and to acknowledge the client's feelings. This facilitates communication
and allows the client to choose the topic or manner of response during
this stage of the grieving process. Assuming the client is angry and sad or
indicating that this is "a terrible diagnosis" is not an appropriate way to
promote coping. The nurse should automatically assume a spiritual leader
is desired.
The hospice nurse is caring for a client who is dying. Which intervention(s)
should be included in the plan of care?
Select all that apply.
Offer normal amounts of food and fluids.
Cluster nursing activities.
Obtain the blood pressure frequently.
Routinely administer pain medications.
, Provide cool foods and fluids.
Place in a supine position when drooling occurs.
Gently massage the arms and legs. - answer Cluster nursing activities.
Provide cool foods and fluids.
Gently massage the arms and legs.
Routinely administer pain medications.
Dying clients may exhibit sleep disturbance due to several reasons such as
anxiety or environmental noise. To promote rest and sleep, the nurse
should cluster nursing activities. Due to slowed peristalsis, clients who are
dying may experience nausea and vomiting. Cool foods and fluids are
preferred to prevent nausea. Due to diminished circulation, clients who
are dying may feel cold. Gently massaging the arms and legs help promote
ciriculation and transfer heat from the nurse's hands to the client. To
prevent causing extreme discomfort, pain medications are administered
around the clock. As the client becomes less alert, the need for pain
medication continues.
Allowing the client to rest is one of the most essential components of end
of life care. Frequent, non-intrusive assessments may be performed.
The nurse is giving palliative care to a client with a diagnosis of COPD.
What is the goal of palliative care?
to improve the client's and family's quality of life
to support aggressive treatment for cure
to provide physical support for the client
The client may develop a separate plan with each discipline of the health
care team. - answer to improve the client's and family's quality of life
The goal of palliative care is to improve the client's and the family's
quality of life. The support should include the client's physical, emotional,
and spiritual well-being. Each discipline should contribute to a single care
plan that addresses the needs of the client and family. The goal of
palliative care is not aggressive support for curing the client. Providing
physical support for the client is also not the goal of palliative care. A
separate plan of care developed by the client with each discipline of the
health care team is not the goal of palliative care.
